Operative gynecology : . the mouth of a bag with-out its drawstring, as Dr. T. A. Emmet has long been in the habit of de-scribing it. Although a frequent ailment, it is rarely recognized except underthe guise of some one of its attendant and accidental features, such as rec- THE RELAXED VAGINAL OUTLET. 293 tocele. cystocele, or rectocele and cystocele, or laceration of the peri-neum in varying degrees. Clinical Appearance.—Upon inspection of such a patient, lying on the back,with the legs flexed, the cleft of the buttocks appears flattened and broad; theanus is often wide, somewhat everted, an
Operative gynecology : . the mouth of a bag with-out its drawstring, as Dr. T. A. Emmet has long been in the habit of de-scribing it. Although a frequent ailment, it is rarely recognized except underthe guise of some one of its attendant and accidental features, such as rec- THE RELAXED VAGINAL OUTLET. 293 tocele. cystocele, or rectocele and cystocele, or laceration of the peri-neum in varying degrees. Clinical Appearance.—Upon inspection of such a patient, lying on the back,with the legs flexed, the cleft of the buttocks appears flattened and broad; theanus is often wide, somewhat everted, and displaced backward; the sphincterring is clearly seen. The skin perineum is often preternaturally deep and the-fourchette intact. In other cases the skin surface of the perineum is torn as vfar back as the sphincter ani. The intact deep perineum has long beena gynecological stumbling block, on account of the inveterate habit of physi-cians of estimating the functional activity and efficiency of the vaginal outlet by.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
